T2 Humeral Nailing System Operative Technique - Stryker
T2 Humeral Nailing System Operative Technique - Stryker
T2 Humeral Nailing System Operative Technique - Stryker
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<strong>Operative</strong> <strong>Technique</strong> – Antegrade <strong>Technique</strong><br />
Guided Locking Mode<br />
(via Target Device)<br />
Prior to guided locking via the Target<br />
Device, the Nail Holding Screw must<br />
be firmly tightened using the Insertion<br />
Wrench, to ensure that the nail is in<br />
correct alignment with the Target<br />
Device.<br />
The Target Device is designed to provide<br />
four options for guided locking<br />
(Fig. 18.1−18.4).<br />
In the Static Oblique Locking Mode,<br />
the two static holes closest to the<br />
end of the nail may be used for static<br />
oblique (30°) locking (Fig. 18.1).<br />
1. S t at ic<br />
2 . S t at ic<br />
In the Static Transverse Locking Mode,<br />
the next static hole and the dynamic<br />
hole are used for static transverse<br />
locking (Fig. 18.2).<br />
3. Static<br />
4. Dynamic<br />
In the Controlled Dynamic Mode,<br />
and/or Controlled Apposition/Compression<br />
Mode, the dynamic hole is<br />
required (Fig. 18.3).<br />
4. Dynamic<br />
In the Advanced Locking Mode, the<br />
dynamic hole is required. After<br />
utilizing compression with the<br />
Advanced Compression Screw, the<br />
static hole is used (Fig. 18.4).<br />
4. Dynamic<br />
3. Static<br />
The Short Tissue Protection Sleeve,<br />
(1806-0180), together with the Short<br />
Drill Sleeve (1806-0210) and the Short<br />
Trocar (1806-0310), are inserted into<br />
the Target Device by pressing the safety<br />
clip (Fig. 19).<br />
The friction lock mechanism is<br />
designed to keep the sleeve in place<br />
and prevent it from falling out. It is<br />
designed to also keep the sleeve from<br />
sliding during screw measurement.<br />
To release the Tissue Protection Sleeve,<br />
the safety clip must be pressed again.<br />
18<br />
1 2<br />
3<br />
3<br />
4<br />
4<br />
4<br />
Fig. 18.1<br />
Fig. 18.2<br />
Fig. 18.3<br />
Fig. 18.4<br />
Fig. 19